1979, 11-21 Permit: 79-8196 InspectINSPECTION RECORD
OWNER
LOCATION
CONTRACTOR
NSE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: //- a /- ? 9
DATE REMARK $,.
09x- .--6.-adK,
2
no RN R{RaRPP
APPLICANT. Cd PUTS N
qa AI�ASM
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LOT � i f IA
OWNER �n 5
ADDR
ipletwart
dat It MAKE 4 CAM
LEGAL DESCRIPTION — SEE ATTACHED
JJ5 rQ
CEL NUMSIAM
4' ADD
RACT
ZIP RauTed set en 1 Fat
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CIeeXlleetlarl
e,
aeration
Ou1Ie40. MPt
Arm In • M.
A0001
210
CHANGE OF USE FRO
TO
J
OWL Aro* linemen EdwAM *Woe AM I Me me
out Ent,
Spilt Leval I Renner
J. TFne 0 NEW 0 ALT. 0 worm0 RFL 0 MVS. 0 OTHER
W000 0 SLO. 0 PLMe. MECN: 0 M.H. 0 POOL
s 1 No. Rooms
Roo Ree
CERTIPICATE
of EXEMPTION
Roe e.
/ 5 '{ I L' / 4 !"_CTR 4�ATe
VALUATION
nOe
11. 4NN1 +-�
I MMb4 9114114 2141 1 11P1 Ilad ENd $91401l3144 44414 /901114998 Ind hove lane the " N®Tltlt" 9418111914 1pi49d444
on revere. site, Inn know the ume 10 ba true end comet. All provisions of IIwl and 0ldineflem 10914nlnd Sh11
type of work wilt be compnao with whether specified herein or not. The granting of a permit done not presume
to give authority to violate or cancel the provision. of any other state or local law regulating construction or the
performance of oon,trucnorr.
OA IE4iv-a:•.:' -77 SIGNATURE
D EPT
SPECIAL AP00OVALS
RE
RECD.
• oloolt
Plemmne
rim Marplan
Co. Men
UIIIIti«
Om CMeanw
0 C1AL ,INDITIONS:
I f/
I4 /
0102 COLLECTEO
WAITS
Building
Plumbing
Moen.012 p0
Plan Cheek
SEPA
Mobile Nome
Other lgwcifyl
TOTAL $1/..2.
r/..
7? airA96
25'
04• •12u0
•11Q[i
.120025
•000 9
81952
11,-21-79
1 4479